Active NPI
Susan Allender
- Counselor
- Springfield, MA
National Provider Identifier
1962815035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1695 Main St
Suite 400
Springfield, MA 01103-1348 - Phone
- (413) 739-5572
- Fax
- (413) 739-9972
- NPI assigned
- Jun 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1695 Main St
Suite 400
Springfield, MA 01103-1348
Mailing address
1695 Main St
Suite 400
Springfield, MA 01103-1348
Phone (413) 739-5572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170915002699 | CT | Practitioner - Clinical Psychologist | 8123392065 | Practice locations: Danbury, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
27 Hospital Ave
Suite 402
Danbury, CT 06810-5961
Phone (203) 628-2970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Services Institute, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, MA
- NPI 1255450631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402012800000",
"number": "1962815035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 MAIN ST",
"address_2": "SUITE 400",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031348",
"telephone_number": "413-739-5572",
"fax_number": "413-739-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 MAIN ST",
"address_2": "SUITE 400",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031348",
"telephone_number": "413-739-5572",
"fax_number": "413-739-9972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLENDER",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-06",
"last_updated": "2014-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.